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General NPI Number Information
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NPI Number | 1588702799
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Entity Type | Organization
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Legal Business Name | WILLIAM J. VERAX III, DMD, PSC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/11/2008
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Provider Practice Location Address
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Address Line | 211 W SHELBY STREET
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City | FALMOUTH
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State | KY
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Zip | 41040
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Country | US
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Telephone | 859-654-5041
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Fax | 859-654-4186
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Provider Business Mailing Address
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Address Line | 211 W SHELBY STREET
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City | FALMOUTH
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State | KY
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Zip | 41040
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Country | US
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Telephone | 859-654-5041
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Fax | 859-654-4186
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. WILLIAM JOSEPH VERAX III
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Credential | DMD
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Telephone | 859-654-5041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | PLEASE CALL TO VERIF
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License Number State | KY
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